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CENTRA MEDICAL GROUP, LLC
NPI 1689268765
Internal Medicine - Pulmonary Disease in Gretna, VA

Active since March 01, 2021
291 MCBRIDE LN, GRETNA, VA 24557(434) 200-4030(434) 200-1657 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Centra Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRA MEDICAL GROUP, LLC (NPI 1689268765), doing business as Cmg Gretna Pulmonology Center, is a healthcare organization registered as a pulmonary disease in Gretna, Virginia and active in the NPI registry since March 2021. The organization lists Sonya R T Davis, Director, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1689268765
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameCENTRA MEDICAL GROUP, LLC
Location Address291 MCBRIDE LNGretna, VA 24557-2773
Mailing Address291 Mcbride LnGretna, VA 24557-2773 · (434) 200-4030 · Fax (434) 200-1657
Phone(434) 200-4030
Fax(434) 200-1657
Organization SubpartYes
Authorized OfficialSonya R T DavisDirector, Revenue Cycle · (434) 200-6942
Enumeration DateMarch 1, 2021
NPPES CertifiedMarch 1, 2021
✔ NPI 1689268765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

291 MCBRIDE LN, Gretna, VA 24557
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Other Names 1

Doing Business AsCmg Gretna Pulmonology Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTRA MEDICAL GROUP, LLC
Clinic/Center (Rural Health)
291 MCBRIDE LN
GRETNA, VA 24557
Pittsylvania County (434) 656-1274
ANNE SAUNIER
Nurse Practitioner (Family)
291 MCBRIDE LN
GRETNA, VA 24557
Pittsylvania County (434) 656-1274
PAMELA G. SMITH M.D.
Internal Medicine
291 MCBRIDE LN
GRETNA, VA 24557
Pittsylvania County (434) 656-1274
MRS. KAREN ANN WISE PT, DPT, LSVT-BIG
Physical Therapist
291 MCBRIDE LN
GRETNA, VA 24557
Pittsylvania County (434) 656-4607
MICHELLE FUQUAY BEALE NP
Nurse Practitioner (Family)
291 MCBRIDE LN
GRETNA, VA 24557
Pittsylvania County (434) 656-1274
SARAH SCRUGGS PT
Physical Therapist
291 MCBRIDE LN
GRETNA, VA 24557
Pittsylvania County (434) 656-4607
CATHERINE MARIE VAN WYHE FNP-C
Nurse Practitioner
291 MCBRIDE LN
GRETNA, VA 24557
Pittsylvania County (434) 656-1274

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centra Medical Group, LLC's NPI number?

The NPI number for Centra Medical Group, LLC is 1689268765. It was assigned to this organization in the NPPES registry on March 1, 2021.

Where is Centra Medical Group, LLC located?

Centra Medical Group, LLC is located at 291 Mcbride Ln, Gretna, VA 24557. The listed phone number is (434) 200-4030.

What is Centra Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Centra Medical Group, LLC was last updated on March 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.